NU 308 Poisonings Bushey UPDATED
ACTUAL Exam Questions and CORRECT
Answers
When it comes to poisonings, what type of children are at a higher risk for getting in that type of
situation? - CORRECT ANSWER - -Ages <6 and under (esp. crawling - 2 years old)
-Adolescents
-History of prior episodes
Adolescents can be at a higher risk d/t intentional drug use or suicide attempts.
What are some common substances that are problematic among adolescents? - CORRECT
ANSWER - -Alcohol
-Prescription (narcotic) drugs
-Bath Salts
-Inhaled aerosols
-Marijuana
What are some common poisons/substances that can be problematic for younger children? -
CORRECT ANSWER - -Batteries
-Household Cleaning Supplies
-Plants
-Cosmetics
-Medications
What characteristic of children in general also make them at a higher risk for poisonings? -
CORRECT ANSWER - -Increased curiosity
-Decreased taste discrimination
-Lack of Awareness of Danger
,The increased curiosity of children is particularly seen in ____________ because they are
developing ________________. - CORRECT ANSWER - Toddlers; autonomy
*toddlers need supervised closely, things like watching their parents take morning vitamins can
be potentially dangerous if unsupervised
Children also tend to explore their environment ________. - CORRECT ANSWER -
Orally
90% of poisoning related accidents happen in the... and 1/3 of those accidents happen in the... -
CORRECT ANSWER - Home; kitchen
What Is the go to type of treatment for poisonings? - CORRECT ANSWER - Gastric
Decontamination/Gastric Lavage
First, we will try gastric Decontamination via... if they are within the window of time. -
CORRECT ANSWER - Activated Charcoal
Activated Charcoal is a... - CORRECT ANSWER - Odorless, tasteless black powder that
can be mixed into water/juice/diet soda/chocolate milk that binds to the poison in the
body/absorbs it
After Activated Charcoal binds to the poison, it then pulls it out via the... - CORRECT
ANSWER - GI tract/Stool
When giving Activated Charcoal, d/t the color, it is recommended to give it how? - CORRECT
ANSWER - In an opaque cup with a lid and straw
*the color alone can discourage kids from drinking it
, However, Activated Charcoal must be given within how long of ingestion of the poison for it be
effective? - CORRECT ANSWER - Within 1 hour
Now, if the child is already experiencing.... Activated Charcoal cannot be given orally any
longer. - CORRECT ANSWER - Seizures or decreased LOC
Despite the seizures and decreased LOC, Activated Charcoal can still be helpful but must be
given how? - CORRECT ANSWER - Via an NG tube with a cuffed ETT
If the NG tube is to deliver the Activated Charcoal to the stomach, why is a cuffed ETT also
placed? - CORRECT ANSWER - To protect them from the risk of aspirating
-Activated Charcoal is extremely harmful to the airway/lungs
When a pt has receiving Activated Charcoal, it is important to monitor for what SE? -
CORRECT ANSWER - Constipation
Constipation is common with kids receiving Activated Charcoal because... - CORRECT
ANSWER - In the process of binding to the poison and pulling out of the body, it also
pulls out water
*potentially causing constipation or even a bowel obstruction
In what instances would Activated Charcoal be contraindicated? - CORRECT ANSWER -
If the child already has an active ileus
If you are in an emergent situation, what is one way to help detect if the child has an active ileus
quickly pricing to administering Activated Charcoal? - CORRECT ANSWER - Check for
bowel sounds!
ACTUAL Exam Questions and CORRECT
Answers
When it comes to poisonings, what type of children are at a higher risk for getting in that type of
situation? - CORRECT ANSWER - -Ages <6 and under (esp. crawling - 2 years old)
-Adolescents
-History of prior episodes
Adolescents can be at a higher risk d/t intentional drug use or suicide attempts.
What are some common substances that are problematic among adolescents? - CORRECT
ANSWER - -Alcohol
-Prescription (narcotic) drugs
-Bath Salts
-Inhaled aerosols
-Marijuana
What are some common poisons/substances that can be problematic for younger children? -
CORRECT ANSWER - -Batteries
-Household Cleaning Supplies
-Plants
-Cosmetics
-Medications
What characteristic of children in general also make them at a higher risk for poisonings? -
CORRECT ANSWER - -Increased curiosity
-Decreased taste discrimination
-Lack of Awareness of Danger
,The increased curiosity of children is particularly seen in ____________ because they are
developing ________________. - CORRECT ANSWER - Toddlers; autonomy
*toddlers need supervised closely, things like watching their parents take morning vitamins can
be potentially dangerous if unsupervised
Children also tend to explore their environment ________. - CORRECT ANSWER -
Orally
90% of poisoning related accidents happen in the... and 1/3 of those accidents happen in the... -
CORRECT ANSWER - Home; kitchen
What Is the go to type of treatment for poisonings? - CORRECT ANSWER - Gastric
Decontamination/Gastric Lavage
First, we will try gastric Decontamination via... if they are within the window of time. -
CORRECT ANSWER - Activated Charcoal
Activated Charcoal is a... - CORRECT ANSWER - Odorless, tasteless black powder that
can be mixed into water/juice/diet soda/chocolate milk that binds to the poison in the
body/absorbs it
After Activated Charcoal binds to the poison, it then pulls it out via the... - CORRECT
ANSWER - GI tract/Stool
When giving Activated Charcoal, d/t the color, it is recommended to give it how? - CORRECT
ANSWER - In an opaque cup with a lid and straw
*the color alone can discourage kids from drinking it
, However, Activated Charcoal must be given within how long of ingestion of the poison for it be
effective? - CORRECT ANSWER - Within 1 hour
Now, if the child is already experiencing.... Activated Charcoal cannot be given orally any
longer. - CORRECT ANSWER - Seizures or decreased LOC
Despite the seizures and decreased LOC, Activated Charcoal can still be helpful but must be
given how? - CORRECT ANSWER - Via an NG tube with a cuffed ETT
If the NG tube is to deliver the Activated Charcoal to the stomach, why is a cuffed ETT also
placed? - CORRECT ANSWER - To protect them from the risk of aspirating
-Activated Charcoal is extremely harmful to the airway/lungs
When a pt has receiving Activated Charcoal, it is important to monitor for what SE? -
CORRECT ANSWER - Constipation
Constipation is common with kids receiving Activated Charcoal because... - CORRECT
ANSWER - In the process of binding to the poison and pulling out of the body, it also
pulls out water
*potentially causing constipation or even a bowel obstruction
In what instances would Activated Charcoal be contraindicated? - CORRECT ANSWER -
If the child already has an active ileus
If you are in an emergent situation, what is one way to help detect if the child has an active ileus
quickly pricing to administering Activated Charcoal? - CORRECT ANSWER - Check for
bowel sounds!
